Application form of Summer Music Academy

Surname, first name*
Date of Birth
Presented Country
Address
E-mail*
Phone*
Education institution, course (class), teacher
Name of an attendant(s)
Classes selected
Piano:	Yuri Kot Alexei Grynyuk Mariya Pukhlianko
Play with orchestra (for pianists):	Yuri Kot Alexei Grynyuk Mariya Pukhlianko Preliminary selection for those who wish to play with an orchestra
Violin:	Anatoly Bazhenov
Play with orchestra (strings):	Anatoly Bazhenov Preliminary selection for those who wish to play with an orchestra.
Repertoire (Please indicate works, you would like to study, if any)
Solo Performance:
Play with orchestra:
Chamber Ensemble: